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This is VAERS ID 271999

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271999
VAERS Form:
Age:13.0
Gender:Female
Location:New Jersey
Vaccinated:2007-01-15
Onset:2007-01-20
Submitted:2007-02-06
Entered:2007-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / - LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR V1974AM / - RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Barium swallow, Chest X-ray, Dyskinesia, Electroencephalogram, Abnormal sleep-related event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EEG, CBC, SMAC, chest x-ray and barium swallow
CDC 'Split Type':

Write-up:Gardasil and Menactra given 1/11/07 beginning 1/22/07 jerking, tremors, shaking episodes occurring only during sleep


Changed on 12/8/2009

271999 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:New Jersey
Vaccinated:2007-01-15
Onset:2007-01-20
Submitted:2007-02-06
Entered:2007-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / - LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR V1974AM / - RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Barium swallow, Chest X-ray, Dyskinesia, Electroencephalogram, Full blood count, Tremor, Abnormal sleep-related event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EEG, CBC, SMAC, chest x-ray and barium swallow
CDC 'Split Type':

Write-up:Gardasil and Menactra given 1/11/07 beginning 1/22/07 jerking, tremors, shaking episodes occurring only during sleep


Changed on 4/7/2010

271999 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:New Jersey
Vaccinated:2007-01-15
Onset:2007-01-20
Submitted:2007-02-06
Entered:2007-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / - LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR V1974AM / - RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Barium swallow, Chest X-ray, Dyskinesia, Electroencephalogram, Full blood count, Tremor, Abnormal sleep-related event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EEG, CBC, SMAC, chest x-ray and barium swallow
CDC 'Split Type':

Write-up:Gardasil and Menactra given 1/11/07 beginning 1/22/07 jerking, tremors, shaking episodes occurring only during sleep


Changed on 5/14/2017

271999 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:New Jersey
Vaccinated:2007-01-15
Onset:2007-01-20
Submitted:2007-02-06
Entered:2007-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / - LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR V1974AM / - RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Barium swallow, Chest X-ray, Dyskinesia, Electroencephalogram, Full blood count, Tremor, Abnormal sleep-related event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EEG, CBC, SMAC, chest x-ray and barium swallow
CDC 'Split Type':

Write-up:Gardasil and Menactra given 1/11/07 beginning 1/22/07 jerking, tremors, shaking episodes occurring only during sleep


Changed on 9/14/2017

271999 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:New Jersey
Vaccinated:2007-01-15
Onset:2007-01-20
Submitted:2007-02-06
Entered:2007-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / - UNK LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR V1974AM / - UNK RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Barium swallow, Chest X-ray, Dyskinesia, Electroencephalogram, Full blood count, Tremor, Abnormal sleep-related event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EEG, CBC, SMAC, chest x-ray and barium swallow
CDC 'Split Type':

Write-up:Gardasil and Menactra given 1/11/07 beginning 1/22/07 jerking, tremors, shaking episodes occurring only during sleep


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